First histopathology: ACC/pheochromocytomaSecond histopathology: ACCImmunohistochemistry:vimentin—positivesynaptophysin—positivecalretinin—positivechromogranin—negativedesmin—negativeinhibin—negativeCD 34, CK7, CAM5.2, D2-40, GATA 3—negativeSF-1—positiveTTF1—negativeKi-67: 70%–80%. The gene discussed is VIM; the disease is adrenal cortex carcinoma.